Nicole Gaines

Health Care Consultant

Lexington, 40514, USA


Program Management

Policy Development

Proposal/Grant Writing

Budget Planning


I analyze, strategize, innovate, operate, and evaluate.


George Washington University

Business Administration , Business Administration

December 2008 - December 2008

Eastern Kentucky University

B.S., Biology B.A., Journalism , B.S., Biology B.A., Journalism

December 2001 - December 2001


Managing Partner

Consulting Strategies Team , Frankfort, KY

October 2010 - January 2012

Drafted award-winning proposals to win clients over $750,000,000 in new revenue Assisted clients in delaying harmful major public policy initiative pending further study Helped clients obtain more than $260,000 in enhanced funding

Proposal Writing
Contract Negotiation
Policy Development
Associate Vice President

University Health Care dba Passport Health Plan , Louisville, KY

July 2007 - December 2010

Developed business plan, budget, and operational plan for $1B non-profit health care program Increased profitability more than 600% Achieved highest health plan ranking (#9) from US News & World Report in history of the company

Management of Operations/Budget
Contract Strategy & Negotiation
Business Development
Director of Children's Health Insurance Program

Kentucky Department for Medicaid Services , Frankfort, KY

August 2005 - July 2007

Oversaw the administrative and operational reform of Kentucky Medicaid while ensuring cost effectiveness, efficiency, and quality care Created and directed policies and programs representing Medicaid’s position on pharmacy issues at the national, state, and local level Served as liaison between Medicaid and provider, advocate, and patient communities on public policy and legislative issues

Program Management
Policy Development
Legislative Monitoring
Director of Government Affairs & Compliance

Bluegrass Family Health , Lexington, KY

April 2002 - August 2004

Functioned as key company representative in meetings with federal/state agencies and industry organizations regarding regulatory policy Served as chair of the Benefit Interpretation Committee to confirm that benefits are applied consistently; chair of the Fraud Special Investigation Unit; HIPAA Privacy Officer; and representative on the Kentucky Association of Health Plans (KAHP) Created and facilitated training programs for product benefits as well as regulatory changes affecting the product

Policy Development
Legislative & Regulatory Review

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